Pharma corruption of medical science by Beatrice Golomb.
Ni of reporter Wang Ya, Zhu Wei
Intervening surgery of a heart, the 84%; that the patient spends the Qian Jing on medical devices to take whole operation charge a medical devices, the price when be being used to patient body is factory price unexpectedly 3 times much...
The reporter investigates discovery, in backside of costly medical devices, the inside story of a plot with breathtaking under cover -- , go to a doctor is to have half mandatory spending the patient to, in the increase chain that sells in whole medical devices, unidentified the person that become only interest to be damaged with respect to the patient in, the profit of high specified number that grabs to produce business, agency, hospital, doctor " bury sheet " . From numerous the twinkle of the doctor that is interviewed, agency its word and in avoiding the important and dwell on the trivial, the reporter feels, this is inside story of a plot only " iceberg one horn " .
Medical devices of surgery of a heart takes charge 84
% coronary heart disease pester the foliaceous uncle of the body for years, be in a hospital of Shandong, did according to the doctor‘s proposal " risk small, curative effect is good but cost is high " intervening operation, it is namely in coronary artery embedded a bracket, make blood stream unobstructed.
The Xie Laoxian before the operation is born with to be informed, need to prepare 50 thousand yuan at least. As expected, the settle accounts sheet that day shows the operation, operation expenses is as high as 54700 multivariate. Need is embedded the bracket inside body is about with all sorts of auxiliary appliance 46000 multivariate, the 84%; examination laboratory test that takes operation charge is expended 4400 multivariate; medicines and chemical reagents makes an appointment with 2300 yuan of; however, the cost of diagnosis and treatment that reflects doctor technology value and operation expenses add up have trifling only however 2000 yuan, 4% what still do not take operation charge.
As we have learned, undertake coronary artery intervenes the operation needs to use 11 kinds of medical devices at least, include bursa of coronary artery bracket, outspread ball to wait. Mr Li that Jinan is engaged in crossing a heart to intervene operation appliance is sold saw to the reporter the price list that he gives some hospital to offer money, if use homebred and common support, this product factory price is above only 8598 yuan, agency however up to the price of 3 times namely 23170 yuan high price sold a hospital, the hospital increases price again 15% hind sell a patient, right now price already was as high as 26645.5 yuan.
Agency should pay a doctor the sales commission of 10%~15%
Mr Li explained to be in agency, hospital and doctor individual hand to the reporter, selling profit of a huge sum of medical devices is how distributive -- , with a patient cost of 26645.5 yuan medical devices is exemple, the profit that the hospital can get is 3475.5 yuan, the doctor‘s rake-off has 2317 yuan to reach 3475.5 yuan, and the profit of agency is as high as 10 thousand yuan. Mr Li says: Unplug Si rice makes an appointment with drought to seek to make? of Α of of conspicuous of of to fold according to guild regulations, agency must receive price by the hospital under the counter 10% pay a doctor sales commission to the scale of 15% . Agency must receive price by the hospital under the counter 10% pay a doctor sales commission to the scale of 15% ..
Last year in August, a criminal of Chongqing city of court of the first intermediate people rules book, offerring sudden huge profits of medical devices of a have a restricted view to common people is how be able to distributive opportunity. Zhang Peng of director of orthopaedics of hospital of Chongqing city Zhongshan age, use a post, in 3 years half inside, receive sales commission of supplier of medical devices more than yuan 130 thousand, because take bribes blame and be chained and thrown into prison.
Why is profit of a huge sum formed with maintain
With competition the drug market phase of miserable intense is compared, belong the capable person of high cost cost of 3 kinds of medical devices, because technical content is higher, at present not only the manufacturer that home can produce on international even also is can be counted on one‘s fingers, and inside an area, business of a production can choose to arrive only commonly two agency, because this is inside industry of medical devices, the competition of production and distribute domain is not intense.
However, should make interest of high specified number can from inside patient hand " cash " , the doctor still must get on whole increase chain " join in " . Besides certain proportional rake-off, every arrive holiday, agency asks a doctor to go out to play; Spring Festival to want to send red package to the doctor even... " spent many money it seems that, but be being compared with the photograph that earn is a drop in the sea. " Mr Li says. Below the temptation of profit of a huge sum, this all directions formed manufacturing business, distributors, hospital and doctor common interest is allied.
Governmental superintendency vacancy, code lag is advocate because of
In medical devices manufacturing business arrives again to agency in the increase chain of the hospital, the end on its, manufacturing business needs agency to promote, want to be able to sell weapon only go out, again high price also won‘t bother about; and the lower end in this increase chain, the reasonable profit of the hospital also is the price deduct a percentage according to medical devices, the price that this means medical devices is higher, the gain that the hospital scores is taller also. Final, the profit of high specified number that can be manufacturing business, agency, hospital by the patient only " buy sheet " .
In addition, law and discipline restrains action weakness to medical rake-off, also be medicine heavy inside story of a plot bans current domain repeatedly more than main factor. Medical rake-off is secret and the risk is low, salesperson and doctor single track are contacted, evidence collects difficulty, case of deal with according to law giving department created an obstacle. Accordingly, sun Yuanming of assistant director of institute of sociology of courtyard of division of Chongqing city company thinks, the government superintends lag of plan of law of vacancy, law, bring about safeguard of patient interest not be in a position.
On October 26, 2005
Guangzhou daily
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